Our NICU has always used nasopharygeal prongs w/the Infant Star. Not just for CPAP support but for SIMV ventilation. We also do this with the SERVO. The STAR is ideal w/ prongs as we can set back up rates for apnea.
As we are in the learning process for the Hudsons, I don't see how they can effectively ventilate. Support yes. But I am talking about 400gr infants!(We have used NP's successfully for 300gr infants) And how do you place the infant prone w/ all that headgear?
I am interested in your own practices. Thx

Hello,

I'm sorry I am not familiar with the Hudson prongs but in reading your question you said that you used the Servo for delivering Nasal CPAP using the prongs. How do you do this and what settings do you use? We here have not been able to do this without getting constant low minute volume alarms. We currently have 1 EME system and are using Infant Bear Cubs for Nasal Cpap. Information from you would be most beneficial.

Thanks,
Yevonne

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Originally posted by tigngin:
Our NICU has always used nasopharygeal prongs w/the Infant Star. Not just for CPAP support but for SIMV ventilation. We also do this with the SERVO. The STAR is ideal w/ prongs as we can set back up rates for apnea.
As we are in the learning process for the Hudsons, I don't see how they can effectively ventilate. Support yes. But I am talking about 400gr infants!(We have used NP's successfully for 300gr infants) And how do you place the infant prone w/ all that headgear?
I am interested in your own practices. Thx

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Yes. Hudsons only seem to work when you use the largest size prong that you can stuff into their nares because they seal by the diameter of the prong rather than the upward pressure onto the septum like other systems. But I dont know about using this for a 400 gm. Unless it was SGA, it would be tubed. Putting the baby prone is a challenge. I use rolled up diapers to lift the face moistly off the bed.

hello!
interesting message. I am new with the Hudsons for a few months at my facility; we use the old Bear cubs with the Hudsons (most of our vents are this type)----we also do Bubble Cpap with the Hudson prongs and they seem to work too. we do not use back up rate. I have not used the Infant Star with Hudson prong----maybe I'll try. About proning the patients----we just don't when they are on the prongs.